Individual provider Active NPI

Michele Marie Mayer, N.P., C.N.M.

  • Obstetrics & Gynecology Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1467525444
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
001110 Issued in NY
Practice address
5225 Nesconset Hwy Ste 70
Port Jefferson Station, NY 11776-2061
Phone
(631) 331-8777
Fax
(631) 474-9169
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 001110 NY Primary
Advanced Practice Midwife 367A00000X 001110 NY

Addresses

Primary practice location

5225 Nesconset Hwy Ste 70
Port Jefferson Station, NY 11776-2061

Mailing address

5225 Nesconset Hwy Ste 70
Port Jefferson Station, NY 11776-2061
Phone (631) 331-8777

Other identifiers 1

IdentifierTypeStateIssuer
001110OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150211001544 NY Practitioner - Certified Nurse Midwife (CNM) 2961727003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001110NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospital Dolan Family Health Center CurrentSince Mar 16, 2016 Accepting new patients
North Shore-Lij Medical PC CurrentSince May 12, 2018 Accepting new patients
North Shore Long Island Jewish Health Care Inc PastSince May 12, 2018 Accepting new patients

Locations

777 Larkfield Rd
Commack, NY 11725
Phone (631) 635-5100

270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219

752 Park Ave
Huntington, NY 11743
Phone (631) 271-9017

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250

300 Community Dr
Plandome, NY 11030

222 E Middle Country Rd
Ste 210
Smithtown, NY 11787
Phone (631) 265-6868

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: michelemayer@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467525444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY STE 70",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762061",
            "telephone_number": "631-331-8777",
            "fax_number": "631-474-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY STE 70",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762061",
            "telephone_number": "631-331-8777",
            "fax_number": "631-474-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "N.P., C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "001110",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "001110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.